Permit CITY OF TIGARD BUILDING PERMIT
11111 COMMUNITY DEVELOPMENT Perm
BUILDING
BUP2015-00009
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/26/2015
Parcel: 151260000300
Jurisdiction: Tigard
Site address: 9585 SW WASHINGTON SQUARE RD
Project: Koi Fusion Subdivision:VASHINGTON SQUARE ESTATES NO. Lot: S
Project Description: Install food kiosk near top of escalators in food court.
Contractor: NJP CONSTRUCTION LLC Owner: PPR WASHINGTON SQUARE LLC
PO BOX 3804 PO BOX 847
TUALATIN, OR 97062 CARLSBAD,CA 92018
PHONE: 503-780-8534 PHONE:
FAX:
Specifics: FEES
Description Date Amount
Type of Use: COM
Class of Work: ALT T Permit Fee-Additions,Alterations, 01/26/2015 $225.80
ype of Const: Demolition
Occupancy Grp: Occupancy Load: 12%State Surcharge-Building 01/26/2015 $27.10
Dwelling Units: 0 Plan Review 01/26/2015 $146.77
Stories: 0 Height: 0 ft Plan Review-Fire Life Safety 01/26/2015 $90.32
Bedrooms: 0 Bathrooms: 0 Info Process/Archiving-Sm$0.50(up to 01/26/2015 $2.50
Value: $10,000 11x17)
Floor Areas:
Total Area: 0
Accessory Struct: 0
Basement: 0
Carport: 0
Covered Porch: 0
Deck: 0
Garage: 0
Mezzanine: 0
Total $492.49
Required: Required Items and Reports(Conditions)
Fire Sprinkler Parapet:
Fire Alarm: Protected Corridors:
Smoke Detectors: Manual Pull Stations:
Accessible Parking: 0
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. • • • •. •regon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 .1-0010 through 0. "52-e 52-e• -.!!0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.8,' - 344.
1 sued By: j / Ir � � ` Permittee Signature:
Call 503.639.4175 by 7:00 a.m.for the next available inspec on date.
This permit card shall be kept In a conspicuous place on the job site until completion of the
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
Commercial RECEIVED FOR OFFICE USE ONLY
Received
City of Tigard p ( Permit No.. )^ a�yy�y)
`.7 b
Date/By: f v'Y/�'J' \AL., OtJ�J-C.Jr.�•v9
• 13125 SW Hall Blvd.,Tigard,OR 9 2 6 '1015 Plan Review
Phone: 503-718-2439 Fax: 503-598-1966 Date/By: Related Permit:
TIGARD Inspection Line: 503-639-41750,'1'1/ OF Date Ready/By: Juris ® See Page 2 for
Internet: www.tigard-or.go TIGARD Notified/Method: Supplemental Information
VBUiLn1NG DIVISION
Xe
TYPE OF WORK REQUIRED DATA:1-AND 2-FAMILY DWELLING
ew construction ❑Demolition Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ 1-and 2-family dwelling El m
Comercial/industrial Valuation: $
El Accessory building El Multi-family Number of bedrooms:
El Master builder Other: (oy IL
Number of bathrooms:
JOB SITE INFORMATI N AND LOCATION Total number of floors:
Job site address: "l 5-is— rJ (�(/o-s s � Si New dwelling area: square feet
City/State/ZIP: -'w� • cc el L77 Garage/carport area: square feet
Suite/bldg./apt.#: -k r Project name: x/'71-t ow f.(bLc( Covered porch area square feet
Cross street/directions to job site: r"" /�,�/� y 6 Deck area: square feet
(J3 ( 'i s4C Pt/ ia00 cal Jif r t4 1 f 141 L Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
Subdivision: Lot#: Permit fees*are based on the value of the work performed.
Tax map/parcel#: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overheadd the roft for the
DESCRIPTION OF WORK work indicated on this application. (!J/
P/N-4-L °() iC))�C Valuation: �f�G
F� /s( Existing building area squarest / b
New building area: 16 K f square feet yAfil
❑ PROPERTY OWNER TENANT Number of stories: / r
Name: 13 do fIlrAJ Type of construction: Ar*(i /
Address: /d L'(3 $ ) /d'r,./ Occupancy groups:
City/State/ZIP: 77 4/ e, ?2.)-'L Existing:
Phone:( ) 7 7 6 rci.
Fax:( New:
PPLICANT 0 CONTACT PERSON BUILDING PERMIT FEES*
Business e: /la .2j1 ,` ,,� (Pleaserelarotaschedule)
v(J� Structural plan review fee(or deposit):
Contact name: 0 ��0,,,>
Address: c IliaC-f S'(,) ,4G FLS plan review fee(if applicable):
d� / Total fees due upon application:
City/State/ZIP:
P {� (�� If 4-1-2rt/f x-42 Amount received:
Phone: ) -f 9 -46C7-7 Fax: :( )
E-mail: PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
i ' `a J/!'��7(& - eE' 1`�lll�, / " e�� Commercial and residential prescriptive installation of
CONTACTOR roof-top mounted PhotoVoltaic Solar Panel System.
Business name: N J A eoti S j►2.uCT/v Ai Ai-C Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: po y 3v / Solar Installation Specialty Code checklist.
City/State/ZIP:•U t4 LR'rl 0(L ?70(o.2. 7gdf� Permit fee(includes plan review $180.00
�d_�5�;( Fax:( ) and administrative fees):
Phone:(�5 7
State surcharge(12%of permit fee): $21.60
CCB Lie.: i 5-.7 S 90 `5/5---//e, $201.60 Total fee due upon appication:
Authorized signature: This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: thil Date: z/'j/$— * Fee methodology set by Tri-County Building Industry
Service Board
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.04/21/2014 440.4613T(1 I/02/COM/WEB)
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
jig " Accessibility: Barrier Removal Improvement Plan
Commercial & Multi-Family - Additions or Alterations
T I G A R[D 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439• www.tigard-or.gov
REQUIREMENT: OREGON REVISED STATUTE (ORS)447.241.
(1) Every project for renovation,alteration or modification to affected buildings and related
facilities shall be made to insure that the path of travel to the altered area and the restroom,
telephones and drinking fountains are readily accessible to individuals with disabilities unless
such alterations are disproportionate to the overall alterations in terms of cost and scope.
(2) Alterations made to the path of travel to an altered area may be deemed disproportionate to
the overall alteration when the cost exceeds twenty-five percent(25%).
VALUATION: Total of all renovation,alteration or modification being done,
excluding painting and wallpapering: [1] $
MULTIPLIER(25%barrier removal requirement): x .25
TOTAL BUDGET FOR BARRIER REMOVAL: [2] $
ELEMENTS: In choosing which accessible elements to provide under this section,priority shall be given
to those elements that will provide the greatest access. Elements shall be provided in the
following order:
(a) Parking $
(b) An accessible entrance: $
(c) An accessible route to the altered area: $
(d) At least one accessible restroom for each sex or a single unisex
restroom: $
(e) Accessible telephones: $
(f) Accessible drinking fountains:and, $
(g) When possible,additional accessible elements such as storage and
alarms: $
TOTAL(shall equal line [2]of Valuation Computation): $
I:\Building\Permits\BUP_COM_PemutApp.doc Rev.12/18/2014
r
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
_ • Plan Submittal Requirements
Commercial & Multi-Family - New, Additions or Alterations
I I G,1 li a 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 • www.tigard-or.gov
1. SITE PLAN (3) copies - fully dimensional, drawn to scale and labeled with:
A. El map& tax lot# ❑ project name ❑ site address ❑ suite number
❑ zoning El applicant name ❑ phone number
B. North arrow.
C. Scale (architectural or engineering only).
D. Street names.
E. Setbacks.
F. Parking,including disabled access.
G. Finished floor elevations.
2. EROSION CONTROL PLANS AND DETAILS.
3. BUILDING PLANS: See the "Plan Submittal Requirement Matrix" for the number of
plans required based on submittal type (no redlines or tape-ons accepted).
All details listed below shall be incorporated into the plans:
A. Scale (architectural or engineering only).
B. Foundation plan.
C. Floor plan(s).
D. Cross sections.
E. Reflective ceiling plan.
F. Seismic bracing detail for suspended ceiling.
G. Roof plan.
H. Exterior elevations.
I. Structural calculations, plans, details and specifications.
J. Accessibility barrier removal worksheet.
K. Deposit-based on valuation of project.
4. ADDITIONAL INFORMATION AS FOLLOWS:
A. Fire Department Building Survey with (1) additional full set of architecture
drawings.
I:\Building\Permits\BUP_COM_PermitApp.doc Rcv.12/18/2014
City of Tigard • COMMUNITY DEVELOPMENT DEPARTMENT
Plan Submittal Requirements Matrix
Commercial & Multi-Family - New, Additions or Alterations
TI('A 1) 13125 SW Hall Blvd. • Tigard, Oregon 97223 • 503.718.2439 •www.tigard-or.gov
Type of Submittal #of Plans
(Includes new,additions and alterations.) Required at
Submittal
Demolition Permit 2
(site plan is required showing location and square footage
of all buildings to be demolished,erosion control plan and
tree protection,if applicable)
Site Work 3
(must include location of all accessible parking)
Plumbing (site utilities) 2
Building 3
Fire Protection System 3
Mechanical 2
Plumbing (building fixtures) 2
Electrical 2
Solar Photovoltaic 2
(Requires check list for prescriptive installation. If not
prescriptive installation,engineering is required.)
Plan review is dependent upon submittal of a completed application and plans.
After plan review approval, the Plans Examiner will contact the applicant to request
additional sets of plans for distribution purposes (for contractor,City of Tigard,Washington
County,and Tualatin Valley Fire&Rescue),if applicable.
I:\Building\Permits\BUP_COM_PermitApp.doc Rev.12/18/2014
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
9585 SW WASHINGTON SQUARE RD, TIGARD,
OR, 97223
Commercial - Building
299 Final inspection
PASS - C of O
BUP2015-00009
Chip Barnett
Violation Summary:
Inspector Contractor